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General NPI Number Information
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NPI Number | 1194096149
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Entity Type | Organization
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Legal Business Name | PDMD TRANSPORTATION INC
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Dates
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Enumeration Date | 01/23/2012
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Last Update Date | 01/23/2012
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Provider Practice Location Address
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Address Line | 224 W SANTA ANITA AVE SAME
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City | BURBANK
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State | CA
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Zip | 91502-2305
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Country | US
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Telephone | 818-505-5525
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Fax | 818-842-5822
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Provider Business Mailing Address
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Address Line | 224 W SANTA ANITA AVE
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City | BURBANK
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State | CA
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Zip | 91502-2305
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Country | US
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Telephone | 818-505-5525
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Fax | 818-842-5822
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Authorized Official
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Title or Position | SECRETARY
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Name | MRS. LIANA SARKSYAN
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Credential |
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Telephone | 877-505-5525
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3416L0300X
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Taxonomy Name | Land Ambulance
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License Number | B5556393
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License Number State | CA
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